Individual provider Active NPI

Charmane Grant

  • Health Educator
  • Montgomery, AL
National Provider Identifier
1346857547
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
807 Madison Ave
Montgomery, AL 36104-2716
Phone
(202) 895-5650
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

807 Madison Ave
Montgomery, AL 36104-2716

Mailing address

620 Moorefield Park Dr Ste 150
North Chesterfield, VA 23236-3680

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdfi-al@balmingilead.org The Balm In Gilead, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Balm in Gilead, Inc Health Educator CurrentSince Oct 4, 2020 Accepting new patients

Locations

620 Moorefield Park Dr
Ste 150
North Chesterfield, VA 23236
Phone (804) 644-2256

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1346857547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MOOREFIELD PARK DR STE 150",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MADISON AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361042716",
            "telephone_number": "202-895-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHARMANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdfi-al@balmingilead.org",
            "affiliation": "Y",
            "affiliationName": "The Balm In Gilead, Inc",
            "address_1": "620 Moorefield Park Dr Ste 150",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232363680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.